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334721 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Ih FIELD OFFICE PERMIT NO. 3 3 4 7 21� PERM IT NO. 334721 Job Address ' -��6 ��e ��� COUNTY OF RIVERSIDE s3 O er /.vee �. DST CONSTRUCTION ESTIMATE Dole NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. POR. aSG SQ. GAR. SO. CAR P. SQ. WALL SQ. SO. ESTIMATED CONSTRUCTION FT. C' ! $ aZ'l Z60r UNITS Cop $ Useof Permit y/�,— [/yam/}A !/ � ��` / � V /Y/</v�j SQ. FT. Ga YARD SPKLR SYSTEM Parcel No. y� FT. Cai� h MOBILEHOME SVC. BAR SINK a FT. Ga G 3 98 °q° POWER OUTLET ROOF DRAINS -PI. Ck. Fee FT. CC DRAINAGE PIPING Lot�S�i,ee'j FT. DRINKING FOUNTAIN Legal Description /��j♦ /) ��11 FT. Ca URINAL S5 VALUATION $ pZ ed v' WATER PIPING �J S/ NOTE: Not to be used as property tax valuation Zone t SWIM POOL, PVT FLOOR DRAIN i SMI Fee is MECHANICAL FEES Dbl $ SWIM POOL, COMM Bond Amt. $ WATER SOFTENER Plon Necker( p�.�,, VENT SYSTEM ❑ FAN ❑ EVAP. COOL ;Q HOOD �C z/ SIGN / WASHER IAUT9fFDISHI $ APPLIANCE JX DRYER 3 Registr. Fee $ Mileage Fee $ GARBAGE DISPOSAL p'Z $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED wn F .�` n ' j Tel. — Zip LAUNDRY TRAY Total Fees$ AIR HANDLING UNIT CFM AV J� !!! IDLE METER Z'p KITCHEN SINK a 4 500 ABSORPTION SYSTEM O B.T.U. Contractor TEMP USE PERMIT SVC OZ WATER CLOSET 41 vo Sewage System " '1!/'v/7 COMPRESSORZ HP ? POLE, TEMP/PERM City Zip LAVATORY HEATING SYSTEM * FORCED ❑ GRAVITY .L'4 0%>p�`r AMPERES SERV ENT SHOWER BOILER � B,T.U. SQ. FT. 6 ¢ BATHTUB SQ. FT. Ga ¢ WATER HEATER oZ Op SQ. FT. RESID Go I Vk0 SEWAGE DISPOSAL a Pip /jL1 L SQ.'F,�. GAR Ca, 3/.¢ HOUSE SEWER GAS PIPING pZ PERMIT FEE 3 O'h PERMIT FEE 3 w PERMIT FEE DBL. I TOTAL FEES 11008.HM. FEE MICRO FEE MECH.FEE ao� PL.CK. FEE CONST. FEE ELECT. FEE SMIFEE d FEE PLUMB.FEE y, PERMIT NO. 3 3 4 7 21� Supp. Permit Job Address ' -��6 ��e ��� Space Zip s3 O er /.vee �. �y��/��/q $aluo� Dole Dist MH Permit Fee $ Micro Film Fee Cop $ Useof Permit y/�,— [/yam/}A !/ � ��` / � V /Y/</v�j Parcel No. y� Use No. k.b ,� E Mech. Fee Obl E -PI. Ck. Fee Set Backs Lot�S�i,ee'j Construction Fee Dbl $ 3% Legal Description /��j♦ /) ��11 o S5 S5 �J S/ ! Electrical Fee Dbl $ l Zone t Grp Unit i SMI Fee is I Plumbing Fee Dbl $ O Bond Amt. $ Plan No. �j 3�z,e�2`-. Plon Necker( p�.�,, Final DoteInspec/tnor �./O �C z/ Sp. Insp. Fee $ r �. Dental. Fee $ Const. Lender Branch Address City ,i/ ` 1 certify that in the performance of termn is rued I $half not employ any person in a el o e o su a t crkmen s com ti-nsotetn lows of California. Zip Owner S'gnnoture r * •s Bwlder Stgnatur. Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ wn F .�` n ' j Tel. — Zip Total Fees$ AV J� !!! Z'p M.O. N.C. Cosh ❑ ❑ ❑ Check Received by Contractor Tel. License # Trees required Sewage System " '1!/'v/7 `�,/ '/ Address I City Zip Workers' Comp. yes ❑ no ❑ T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ver,l,ed 6y Sewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RI VEQSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.208 (Re, 477) ©s CALIFORNIA.